Effect of Body Mass Index on Pregnancy Outcomes in Nulliparous Women Delivering Singleton Babies: Observational Study

Deepika, J.; Khuteta, Rakesh; Chaturvedi, Veena; Khuteta, Sushila

doi:10.1007/s13224-012-0225-x

Cited by 24 publications

(26 citation statements)

References 9 publications

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“…However, these studies did not adjust the results for BMI, whereas we did. Increased BMI has been associated with a higher risk of postpartum haemorrhage for nulliparous women [49] and women with high BMI were more likely to give birth in hospital in our study.…”

Section: Discussionmentioning

confidence: 52%

Effect of planned place of birth on obstetric interventions and maternal outcomes among low-risk women: a cohort study in the Netherlands

Bolten

Jonge

Zwagerman

et al. 2016

BMC Pregnancy Childbirth

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BackgroundThe use of interventions in childbirth has increased the past decades. There is concern that some women might receive more interventions than they really need. For low-risk women, midwife-led birth settings may be of importance as a counterbalance towards the increasing rate of interventions. The effect of planned place of birth on interventions in the Netherlands is not yet clear. This study aims to give insight into differences in obstetric interventions and maternal outcomes for planned home versus planned hospital birth among women in midwife-led care.MethodsWomen from twenty practices across the Netherlands were included in 2009 and 2010. Of these, 3495 were low-risk and in midwife-led care at the onset of labour. Information about planned place of birth and outcomes, including instrumental birth (caesarean section, vacuum or forceps birth), labour augmentation, episiotomy, oxytocin in third stage, postpartum haemorrhage >1000 ml and perineal damage, came from the national midwife-led care perinatal database, and a postpartum questionnaire.ResultsWomen who planned home birth more often had spontaneous birth (nulliparous women aOR 1.38, 95 % CI 1.08–1.76, parous women aOR 2.29, 95 % CI 1.21–4.36) and less often episiotomy (nulliparous women aOR 0.73, 0.58–0.91, parous women aOR 0.47, 0.33–0.68) and use of oxytocin in the third stage (nulliparous women aOR 0.58, 0.42–0.80, parous women aOR 0.47, 0.37–0.60) compared to women who planned hospital birth. Nulliparous women more often had anal sphincter damage (aOR 1.75, 1.01–3.03), but the difference was not statistically significant if women who had caesarean sections were excluded. Parous women less often had labour augmentation (aOR 0.55, 0.36–0.82) and more often an intact perineum (aOR 1.65, 1.34–2.03). There were no differences in rates of vacuum/forceps birth, unplanned caesarean section and postpartum haemorrhage >1000 ml.ConclusionsWomen who planned home birth were more likely to give birth spontaneously and had fewer medical interventions.

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Section: Discussionmentioning

confidence: 52%

Effect of planned place of birth on obstetric interventions and maternal outcomes among low-risk women: a cohort study in the Netherlands

Bolten

Jonge

Zwagerman

et al. 2016

BMC Pregnancy Childbirth

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“…The present study demonstrated that no significant differences occurred in the PIH rate between women with type 1 and type 2 DM. Even in normal glucose-tolerant women and those with gestational diabetes, maternal BMI is an independent risk factor for PIH [18,19]. Moreover, along with maternal pregestational BMI, the presence of diabetic microangiopathy, including retinopathy or nephropathy, in type 1 DM has also been previously reported as a risk factor for PIH [20].…”

Section: Resultsmentioning

confidence: 97%

Pregnancy outcomes in women with type 1 and type 2 diabetes mellitus in a retrospective multi-institutional study in Japan

et al. 2014

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“…El estudio muestra que un IMC pregestacional correspondiente a bajo peso es un factor de riesgo para el Bajo Peso al Nacer y PEG, tal como se ha reportado en otros trabajos 18,19,20 . Por ejemplo, en un estudio publicado en el 2016, el cual reclutó 1,336 gestantes japonesas, encontró que las que presentaban IMC bajo, presentaron un OR de 1.86 (1.04-1.31) frente a las que presentaron IMC no rm al 21 , similar a nuestro resultado.…”

Section: Discussionunclassified

“…Por otro lado, se obtiene que el sobrepeso es un factor protector, mientras que la obesidad no resulta significativa, aunque con tendencia a ser protector; no obstante, si bien el riesgo de Bajo Peso al Nacer es menor con IMC pregestacional elevado, esto puede ser de igual manera perjudicial, dado que el recién nacido tiene una mayor probabilidad de resultar macrosómico 18 , el cual es un factor importante de morbilidad materno-perinatal [22][23] .…”

Section: Discussionunclassified

Resultados preliminares del análisis de bajo peso al nacer, nacimiento pretérmino y pequeño para la edad gestacional, reportados en la base de datos del Instituto Nacional Materno Perinatal durante los años 2012-2017

Fano-Sizgorich¹,

Ayala-Peralta²,

Carranza-Asmat³

et al. 2019

Investigación Materno Perinatal

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Objetivo. Evaluar los cambios ocurridos desde el 2012 al 2017, y analizar los factores que influyen sobre ellas. Material y métodos. Se analizó la base estadística materno-perinatal manejada por el Instituto Nacional Materno Perinatal. Se incluyeron todos aquellos partos pertenecientes a Lima Metropolitana, nacidos vivos, de partos únicos, obteniéndose un total de 107 581 partos. Se realizó un análisis multivariado ajustando por distintas variables obstétricas y socioeconómicas. Resultados. No se obtuvo cambios significativos de Bajo Peso al Nacer, Nacimiento Pretérmino y PEG entre los distintos años. En los tres casos, la anemia leve estaría actuando como un factor protector 0,91 (0,74-1,1), 0,80 (0,72-0,90) y 0,85 (0,76-0,95), respectivamente; en donde el grado de anemia leve es protector para Nacimiento Pretérmino y PEG. Mientras que la preeclampsia es el factor de riesgo de mayor influencia, OR: 2.90 (2,25-3,73), 5,23 (4,61-5,98) y 3,00 (2,57-3,49), respectivamente. Conclusión. El riesgo de Bajo Peso al Nacer, Nacimiento Prematuro y PEG no varió significativamente en el periodo 2012-2017 al controlarse por las demás variables. La anemia leve debe de considerarse como un factor protector ante resultados perinatales adversos, mientras que la eritrocitosis como uno de riesgo. Dado su impacto sobre los resultados perinatales, es imperativo estudiar los factores que predisponente a padecer de preeclampsia.

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Effect of Body Mass Index on Pregnancy Outcomes in Nulliparous Women Delivering Singleton Babies: Observational Study

Abstract: Objective To find out the effect of increasing body mass index (BMI) on pregnancy outcomes in nulliparous women delivering singleton babies. Conclusions Increasing BMI is associated with increased incidence of cesarean delivery, PIH, post partum hemorrhage, and macrosomic babies.

Cited by 24 publications

References 9 publications

Effect of planned place of birth on obstetric interventions and maternal outcomes among low-risk women: a cohort study in the Netherlands

Effect of planned place of birth on obstetric interventions and maternal outcomes among low-risk women: a cohort study in the Netherlands

Pregnancy outcomes in women with type 1 and type 2 diabetes mellitus in a retrospective multi-institutional study in Japan

Resultados preliminares del análisis de bajo peso al nacer, nacimiento pretérmino y pequeño para la edad gestacional, reportados en la base de datos del Instituto Nacional Materno Perinatal durante los años 2012-2017

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